Infertility Workup

An infertility workup is a systematic evaluation of a couple who has been unable to conceive after 12 months of regular, unprotected intercourse (or 6 months if the woman is over 35 years old). The goal is to identify potential causes of infertility in either or both partners and to guide appropriate treatment.

Initial Evaluation

History Taking (Both Partners)

Female Partner

Menstrual history (regularity, duration, flow)
Age, BMI
Obstetric history (previous pregnancies or miscarriages)

Male Partner

Sexual history and erectile function
Past history of mumps, trauma, or surgeries (e.g., varicocele repair)
Occupational exposures or toxins
Use of anabolic steroids, alcohol, or recreational drugs

Physical Examination

Female: Look for signs of PCOS, thyroid disease, galactorrhea, pelvic or adnexal masses.
Male: Evaluate for varicocele, testicular volume, penile abnormalities.

Diagnostic Tests

Female Partner

Ovulation Assessment

Basal body temperature (BBT)
Serum progesterone (day 21 of 28-day cycle; >3 ng/mL suggests ovulation)
LH surge kits (home ovulation predictor kits)

Ovarian Reserve Testing

Anti-Müllerian Hormone (AMH)
Antral Follicle Count (via transvaginal ultrasound)
Day 3 FSH and estradiol levels

Tubal Patency & Uterine Evaluation

Hysterosalpingography (HSG)
Sonohysterography (saline infusion sonogram)
Hysteroscopy or laparoscopy (if indicated)

Let's be Together

Infertility Workup